Dosing & Uses
Dosage Forms & Strengths
bacitracin/lidocaine
ointment
- (500 units/4%)/g
Minor Cuts, Scrapes & Burns
Indicated to prevent infection and temporarily relieve pain in minor cuts, scrapes, and burns
After cleaning affected area, apply small amount topically 1-3 times/day; cover with sterile bandage
Dosage Forms & Strengths
bacitracin/lidocaine
ointment
- (500 units/4%)/g
Minor Cuts, Scrapes & Burns
Indicated to prevent infection and temporarily relieve pain in minor cuts, scrapes, and burns
<2 years: Safety and efficacy not established
≥2 years: After cleaning affected area, apply small amount topically 1-3 times/day; cover with sterile bandage
Adverse Effects
Frequency Not Defined
Rash
Hypersensitivity (rare)
Warnings
Contraindications
Hypersensitivity to bacitracin, lidocaine, or other anesthetic amides (eg, bupivacaine)
Cautions
For external use only
Avoid contact with eyes
Do not use over large areas of body
Not for deep puncture wound, animal bites, or serious burns
Discontinue if swelling, rash, or fever develops
Discontinue if irritation, pain, or redness persist or worsens, or if symptoms do not improve in 7 days
Do not use for >7 days unless directed by physician
Pregnancy & Lactation
Pregnancy Category: C
Lactation: not known if distributed in milk
Pregnant or breastfeeding patients should seek advice of health professional before using OTC drugs
Pregnancy Categories
A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk. C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done. D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk. X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist. NA: Information not available.Pharmacology
Mechanism of Action
Bacitracin: Inhibits bacterial cell wall synthesis, by preventing the incorporation of amino acids and nucleotides into the cell wall
Lidocaine: Topical anesthetics that reversibly block nerve conduction near their site of administration, thereby producing temporary loss of sensation in a limited area
Absorption
Bacitracin: Not substantially absorbed from intact or denuded skin, wounds, or mucous membranes
Lidocaine: Skin and mucosal absorption is highly variable; most anesthetic agents exist as solids and are only superficially absorbed through intact skin